Individual provider Active NPI

Kathryn Elise Walters, PHYSICAL THERAPIST

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1447650981
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3948 Issued in NH
Practice address
134 Hall St Unit 1
Concord, NH 03301-3470
Phone
(603) 224-4540
Fax
(603) 228-7384
NPI assigned
Sep 3, 2014
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3948 NH Primary

Addresses

Primary practice location

134 Hall St Unit 1
Concord, NH 03301-3470

Mailing address

134 Hall St Unit 1
Concord, NH 03301-3470
Phone (603) 224-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric Physical Therapy IncGroup PAC ID 8224376835, 4 clinicians

Practice addresses (Care Compare)

134 Hall St
Unit 1
Concord, NH 03301-3470
Phone (603) 224-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3948NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Physical Therapy, Inc Physical Therapist CurrentSince Jul 21, 2024 Accepting new patients
Jacqueline Kozak CurrentSince Nov 6, 2022 Accepting new patients
Wiggle Worms Pediatric Physical Therapy, LLC Past Accepting new patients
Allied Therapies of Texas, PLLC Physical Therapist PastSince Mar 1, 2021 Accepting new patients

Locations

4402 Williams Dr
Ste 115
Georgetown, TX 78628
Phone (512) 256-7627

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1447650981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HALL ST UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013470",
            "telephone_number": "603-224-4540",
            "fax_number": "603-228-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HALL ST UNIT 1",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013470",
            "telephone_number": "603-224-4540",
            "fax_number": "603-228-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KATHRYN",
        "middle_name": "ELISE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.